| NPI | 1477826634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100506200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019323) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2022-07-21 |