| NPI | 1619788619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00602200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022695-01) |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-03-26 |