| NPI | 1750904090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00250900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00250900) |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TH0004X Psychologist Health | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |