| NPI | 1649328493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35si00453900) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016952) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-10-16 |