NPI | 1265221881 |
---|---|
Former Name | EMILY MARIE STURTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100763400) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NJ 1166452) |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-05-01 |