| NPI | 1619045259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 44SC00536900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00536900) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |