| NPI | 1487980942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00564300) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS-016696) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2024-03-15 |