| NPI | 1740417278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00634200) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00371000) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2021-04-01 |