NPI | 1023744190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100586500) |
Additional Taxonomies | 101YS0200X Counselor, School |
103T00000X Psychologist (Licence: NY 022414) | |
103TS0200X Psychologist, School | |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-07-29 |