| NPI | 1861534430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 4994) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00436900) |
| 103TC0700X Psychologist Clinical (Licence: NY 016584) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-01-12 |