| NPI | 1154736650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3368) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ T086-919) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-02-02 |