| NPI | 1295706489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100333100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 007517-1) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2007-07-09 |