| NPI | 1679651996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100619800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11025) |
| 103TC0700X Psychologist, Clinical (Licence: NY 023959-01) | |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05226900) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW12802) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-03-19 |