| NPI | 1710130307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00456800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017169) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2010-05-10 |