| NPI | 1720368830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00672500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 26454) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2024-02-26 |