| NPI | 1710038542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00374100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00109200) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-08-11 |