| NPI | 1891809455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 4315) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 912) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-01-21 |