| NPI | 1063099612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 243-061) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 7044) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP7310) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 41047) | |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2026-05-01 |