| NPI | 1255504809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00614400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS016405) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2020-03-10 |