| NPI | 1982870002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 5109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC003525300) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2013-09-30 |