| NPI | 1194089649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017444) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NH 3338) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00669100) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2024-04-17 |