| NPI | 1003226994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00714100) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021379-1) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA 30648) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 4477) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2024-11-06 |