| NPI | 1750466512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00626500) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NE 634) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2022-04-27 |