| NPI | 1942586763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100563900) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00434000) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2024-06-17 |