| NPI | 1205531340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020466) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00802000) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-01-26 |