| NPI | 1235363946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 8717) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 5212) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-10-19 |