| NPI | 1346749256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021827) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00313200) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-07-27 |