| NPI | 1164815296 |
|---|---|
| Former Name | STEPHANIE JUSTINE RABIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00544800) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |