| NPI | 1720228166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4796) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018153) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2017-10-23 |