| NPI | 1548866510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00483000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017535) |
| 103T00000X Psychologist (Licence: CA 19480) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |