| NPI | 1932267465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012369-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00442400) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-10-19 |