| NPI | 1659424703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 9394) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 02560) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2024-11-24 |