| NPI | 1306277819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00498600) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019301-1) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |