| NPI | 1619578937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00634800) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS018858) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-05-02 |