| NPI | 1760906317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 5721) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021416) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |