| NPI | 1457778219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100407200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS009157L) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2024-09-23 |