| NPI | 1326777871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 025328) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00732000) |
| 103TC0700X Psychologist, Clinical (Licence: NY P113414) | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2024-02-15 |