| NPI | 1184926339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100568000) |
| 103TC0700X Psychologist, Clinical (Licence: NY 021222) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 071.008836) | |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2016-10-28 |