| NPI | 1780822825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00433400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015941) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2011-06-24 |