| NPI | 1174080824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019371) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00664000) |
| 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00664000) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2025-12-22 |