| 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 |