| NPI | 1497537989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00715200) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS019557) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-20 |