| NPI | 1952486128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00530200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 016846-1) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-06-16 |