| NPI | 1386018596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018954) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ TP 153-120) |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2015-11-26 |