| NPI | 1518045889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100444200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017013) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2021-03-12 |