| NPI | 1205002664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00451600) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PS10577) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2020-10-13 |