| NPI | 1528343647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 4881) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 4881) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NJ 4881) | |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS016980) | |
| 103TC0700X Psychologist Clinical (Licence: PA PS016980) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: PA PS016980) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2015-02-12 |