| NPI | 1104054675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NJ 35SI00475300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016624) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-05-06 |