| NPI | 1891919437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00437900) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00437900) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-01-09 |