| NPI | 1205882818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 4139) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014263-1) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-01-29 |