| NPI | 1770051427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100585300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 002746-1) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2018-11-10 |