| NPI | 1750117453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026662) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00809200) |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2026-04-16 |