| NPI | 1518211549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019656) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00655100) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2024-01-31 |