| NPI | 1457968026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00712100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 025710) |
| 103T00000X Psychologist (Licence: MT PSY-PSY-LIC-5083) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810008547) | |
| 103TS0200X Psychologist, School (Licence: NJ 1027950) | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2024-09-10 |