| NPI | 1154660439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019890) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00553100) |
| 103TS0200X Psychologist, School (Licence: NY 019890-1) | |
| 103TS0200X Psychologist, School (Licence: NJ 35SI00553100) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2023-01-04 |