| NPI | 1285866632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 4712) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 015078) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |