| NPI | 1215648001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017971) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00538200) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |