| NPI | 1548701097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022462) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00706300) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2025-12-09 |