| NPI | 1033496542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 073-865) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018845-1) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |