| NPI | 1639766173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00778800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 5835) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2025-08-12 |