| NPI | 1033252960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 3668) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY0004115) |
| 103T00000X Psychologist (Licence: NJ 1817) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |