| NPI | 1194943605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00421300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS-08746-L) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-05-19 |