| NPI | 1508020041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017968-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00561100) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2020-02-12 |