| NPI | 1184812513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 01271101) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S100543600) |
| 103T00000X Psychologist (Licence: NY 012711) | |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2023-11-06 |