| NPI | 1437217395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100451100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 014085) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-03-29 |