| NPI | 1205148814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 6300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016414) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |