| NPI | 1578700969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100497900) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017800-1) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2013-07-10 |