| NPI | 1275105140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00778700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 026864) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2026-01-27 |