| NPI | 1588728760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 003538-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35s100495900) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-02-21 |