| NPI | 1083068480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 5659) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 1261) |
| 103TC0700X Psychologist, Clinical (Licence: NY 21856) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2017-05-10 |