| NPI | 1003355876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 6418) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY P11806) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2023-01-13 |