| NPI | 1417513748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00646800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024098) |
| 103TC0700X Psychologist, Clinical (Licence: FL 11577) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2023-03-27 |