| NPI | 1386923183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100160600) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000372-1) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |