| NPI | 1750488854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100299200) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NJ 35S100299200) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |