| NPI | 1952776239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 3672) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 012983) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2019-05-24 |