| NPI | 1255455853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 12018) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 32821) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 3217) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-05-01 |