| NPI | 1982079760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00752300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00752300) |
| 103TF0200X Psychologist, Forensic (Licence: NJ 35SI00752300) | |
| Enumeration Date | 2015-12-05 |
| Last Update Date | 2025-03-13 |