| NPI | 1215375225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00661300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024646) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-12-14 |