| NPI | 1265491328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 04162) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013937) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-07-08 |