| NPI | 1194044057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018479-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00509100) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2021-11-09 |