| NPI | 1952412678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 25MA02139000) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ MA21390) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 084218-1) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA21390) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 084218-1) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-06-20 |