| NPI | 1598977217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00099300) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00099300) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00099300) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00099300) | |
| 106H00000X Marriage & Family Therapist (Licence: NJ 35SI00099300) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-11-12 |