| NPI | 1730350240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100498200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00840300) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2018-12-26 |