| NPI | 1093831489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015893) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ SI00434500) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-11-26 |