| NPI | 1366961690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00694100) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical (Licence: IN 20043628A) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-05-03 |