| NPI | 1801126396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100549400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00549400) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2024-11-04 |