| NPI | 1871968446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100538300) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: NJ 35S100538300) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35S100538300) | |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2023-10-27 |