| NPI | 1538304159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00458200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015013) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 4582) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 015013) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ 4582) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2024-02-09 |