| NPI | 1104995703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ S1003391) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 0124611) |
| 103TC0700X Psychologist, Clinical (Licence: IL 071007110) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-07-12 |