| NPI | 1265801336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00562200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020927) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2017-09-11 |