| NPI | 1932551694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 022707) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: NJ 35SI00644900) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2021-09-20 |