| NPI | 1104288307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00556700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021467) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2022-01-11 |