| NPI | 1013253210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 5000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019382) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |