| NPI | 1558477646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI0036100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 0130621) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-07-23 |