NPI | 1710069588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00433700) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00433700) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-11-27 |