| NPI | 1649378043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-004788-L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ SI-02491) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-09-19 |