| NPI | 1538891593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 026002) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00751000) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 4743) | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-11-09 |