| NPI | 1831470681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00571500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 21873) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2021-12-08 |