| NPI | 1922398932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00593100) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35SI00593100) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-10-07 |