| NPI | 1992250153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 5658) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 5658) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NJ 5658) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 5658) | |
| 103TF0000X Psychologist, Family (Licence: NJ 5658) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NJ 5658) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2018-05-01 |