| NPI | 1649360207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00184900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 010653-1) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |