| NPI | 1811281025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00507500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 018638-1) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-12-23 |