| NPI | 1346417557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 355100490300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017494-1) |
| 103T00000X Psychologist (Licence: NY 017494) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2012-12-05 |