| NPI | 1750708947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00440500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016465) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |