| NPI | 1841521994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00574500) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00499300) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2017-04-03 |