| NPI | 1457472730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100510500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 001524) |
| 103T00000X Psychologist (Licence: NY 017463) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-11-05 |