| NPI | 1558446245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 010825) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ 3222) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-06-20 |