| NPI | 1083768469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100329000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 012314 1) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |