| NPI | 1467685099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00521700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018186) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2018-05-17 |