| NPI | 1790433779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00647900) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00647900) |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |