| NPI | 1023499241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 5263) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020095) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |