| NPI | 1265545800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 010767) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 03910) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |