| NPI | 1962283523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026690) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00776100) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-08-19 |