| NPI | 1285094789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018352) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ SI5583) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-10-09 |