| NPI | 1255455853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 12018) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 3217) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-05-24 |