| NPI | 1003689993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025162) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00712400) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |