| NPI | 1417414400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ NJDCATEMP-024757) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006112) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-09-06 |