| NPI | 1881913341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00251700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 072-003204) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |