| NPI | 1881023992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00499600) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 35SI00499600) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NJ 35SI00499600) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00499600) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00499600) | |
| 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00499600) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NJ 35SI00499600) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NJ 35SI00499600) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |