| NPI | 1609464460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00691800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 203-019) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2024-11-25 |