| NPI | 1861424426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016328) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S00446200) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-03-10 |