| NPI | 1043831100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00780000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA 390200000X) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2025-07-17 |