| NPI | 1679923700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00563500) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NJ 35SI00563500) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35SI00563500) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |