| NPI | 1629747613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 025770) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00724100) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-11-08 |