| NPI | 1114393824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00643400) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 023888) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2024-03-13 |