| NPI | 1497636617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00790800) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 027775) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2026-04-28 |