| NPI | 1326398496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017057) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00601800) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-05-18 |