| NPI | 1386099745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S1OO522300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018015) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |