| NPI | 1285110510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38187) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018377) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 5921) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2025-12-30 |