| NPI | 1336539527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019657) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019657) |
| 103T00000X Psychologist (Licence: NJ 35SI00555100) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00555100) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2020-05-12 |