| NPI | 1306105846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 5012) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019387) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2014-04-14 |