| NPI | 1679984009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024028) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00770200) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2025-06-22 |