| NPI | 1821569278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 023913-01) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00679500) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2022-10-31 |