| NPI | 1639614308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100577500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 021406) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 021406) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35S100577500) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35S100577500) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NJ 35S100577500) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-02-24 |