| NPI | 1558900704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018682) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00617400) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |