| NPI | 1093873689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY NY010752) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ NJ2972) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-04-06 |