| NPI | 1558461848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 0139691) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S100408300) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |