| NPI | 1558813451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00566500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021573) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2017-02-21 |