| NPI | 1790935138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00479100) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: NY 018245-1) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2010-07-16 |