| NPI | 1316210594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00648800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019687) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2026-07-04 |