| NPI | 1669890174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2020017889) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 5137) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-05-30 |