| NPI | 1336227339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 0062301) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100206900) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |