| NPI | 1174601488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 0154491) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00433800) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |