| NPI | 1649698952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00539200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020155) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-07-21 |