| NPI | 1013179233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00491000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018223) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2012-03-13 |