| NPI | 1598928038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100491700) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NY 015620-1) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-03-09 |