NPI | 1568751881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00724500) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 020237) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2025-04-09 |