| NPI | 1821574153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100596600) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NJ 35s100596600) |
| 103TA0700X Psychologist, Adult Development & Aging | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |