| NPI | 1699061838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00508300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019084) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2024-11-18 |