| NPI | 1811061963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4851) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 013567-01) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 4851) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 013567-01) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2019-07-05 |