| NPI | 1356519987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ SI03705) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 9254) |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2008-02-17 |