| NPI | 1285521070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 027317) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00778900) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |