| NPI | 1043343452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017870) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3636) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00541100) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-07-27 |