| NPI | 1629408414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00641300) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: RI PS01403) |
| 103TC0700X Psychologist Clinical (Licence: MA 9798) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2023-07-24 |