| NPI | 1396338166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00642800) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 024156) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-09-17 |