| NPI | 1255446753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 010162) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00337200) |
| 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00337200) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-10-29 |