| NPI | 1679988703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6036) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 5032) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2023-06-02 |