| NPI | 1679709588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100465700) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017736) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2010-10-19 |