| NPI | 1881130888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00563300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021309) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2018-02-20 |