| NPI | 1568887198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00613200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020468-1) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-05-02 |