| NPI | 1942785571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00599000) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: NJ 35SI00599000) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-06-08 |