| NPI | 1265104525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00758000) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 025412) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2025-01-08 |