| NPI | 1982885307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00463900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00463900) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35SI00463900) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NJ 35SI00463900) | |
| 103TS0200X Psychologist School (Licence: NJ 35SI00463900) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: NJ 35SI00463900) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: NJ 35SI00463900) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2016-10-24 |