| NPI | 1578597837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 013372) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 4196) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-11-20 |