| NPI | 1801465646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 024185) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ NJDCATEMP-038052) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |