| NPI | 1073718086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ NJ35SI00512600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical (Licence: NY 019556-1) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2026-06-15 |