| NPI | 1669534368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 3283) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 011457) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2007-07-08 |