| NPI | 1679593834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 015691-1) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100488400) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-09-30 |