| NPI | 1821630120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00610400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023237-01) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-17 |