| NPI | 1245718204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 173-064) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022810) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2021-03-19 |