| NPI | 1790949675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 2960) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 7825) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |