| NPI | 1396222550 |
|---|---|
| Former Name | JUDITH SHARON LEVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100500800) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 011575) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |