| NPI | 1093857898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4491) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016253) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-07-21 |