| NPI | 1275001646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ PT191A006) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS01713) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-05-01 |