| NPI | 1588302780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00775000) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY200001289) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-08-07 |