| NPI | 1447680723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS017715) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DE B1-0001015) |
| 103TC0700X Psychologist Clinical (Licence: NJ 35S100583300) | |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2023-12-01 |