| NPI | 1679227243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00695200) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-03-08 |