| NPI | 1003066929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4595) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.007506) |
| Enumeration Date | 2008-09-28 |
| Last Update Date | 2010-04-05 |