| NPI | 1346939477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00702600) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 025575) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NJ 35SI00702600) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NY 025575) | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |