| NPI | 1649311556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015851-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S100437400) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-06-10 |