| NPI | 1649717042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 6032) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 163107) |
| 103TF0200X Psychologist, Forensic (Licence: NJ 163107) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: NJ 163107) | |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2019-06-11 |