| NPI | 1215336938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00559300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020795) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2019-03-28 |