| NPI | 1265117543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00801300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 027983) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2026-03-04 |