| NPI | 1124046651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018597) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00573800) |
| 103TC0700X Psychologist, Clinical (Licence: CT 001403) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-11-02 |