| NPI | 1164520862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00381800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013715-1) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-09 |