| NPI | 1235522046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 5834) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020803) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2019-11-25 |