| NPI | 1073643615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00474300) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 016876) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-03-08 |