| NPI | 1063741833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013760-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00387300) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2019-01-14 |