| NPI | 1457974750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100627500) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023551) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-09-21 |