| NPI | 1750467023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 3214) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 10858) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |