| NPI | 1528491511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 5016) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 5016) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 018427-1) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 018427-1) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 5016) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 018427-1) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |