| NPI | 1275028425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MA 11433) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 4364) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00695000) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-01-13 |