| NPI | 1225648645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 4617) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 015836) |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2021-07-13 |