| NPI | 1679543417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016001-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100413100) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |