| NPI | 1578028817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05983) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC 1001362) |
| 103TS0200X Psychologist, School (Licence: NJ 944467) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |