| NPI | 1730301623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S1003310000) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NJ 35S100331000) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-01-23 |