| NPI | 1639239361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 009237-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ SI 02150) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-10-08 |