| NPI | 1841551546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00625200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023235) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2020-03-03 |