| NPI | 1952520900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 015047) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ 4062) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NY 015047) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 4062) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-07-17 |