| NPI | 1871547687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI005766000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 012239) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-06-13 |