| NPI | 1144597451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00309600) |
| Additional Taxonomies | 103TP0814X Psychologist Psychoanalysis (Licence: NJ 35SI00309600) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |