| NPI | 1124114053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 3565) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY35732) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2025-08-21 |