| NPI | 1265250179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00756600) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NY 026327) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |