| NPI | 1407911159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4282) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015255) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-02-29 |