| NPI | 1538281431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 061-A276) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015611-1) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-07-20 |