| NPI | 1538666342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00565000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020555) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2020-08-03 |