| NPI | 1962908459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022618) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00742300) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-11-15 |