| NPI | 1154689826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NJ 562042) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 1189167) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |