| NPI | 1679228498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00693000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024792) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2025-04-11 |