| NPI | 1487680229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 010828) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100601900) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-08-11 |