| NPI | 1902313307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 6046) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 022474) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2024-02-20 |