| NPI | 1609137041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00598400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017205) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2020-12-21 |