| NPI | 1871908046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 143-010) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 143-010) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 143-010) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |