| NPI | 1962868091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 021048) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 5509) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-12-22 |