| NPI | 1568779205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4811) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 2370) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |