| NPI | 1669533444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 5528) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW014630) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-02-03 |