| NPI | 1518926682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 061-A307) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 19650) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2007-07-08 |