| NPI | 1992366918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00624500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023037) |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2021-12-28 |