| NPI | 1124571575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 022240) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00675700) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-09-29 |