| NPI | 1699977249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 1469) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS002940L) |
| 103TF0000X Psychologist, Family (Licence: NJ 1469) | |
| 103TF0000X Psychologist, Family (Licence: PA PS002940L) | |
| 103TF0200X Psychologist, Forensic (Licence: NJ 1469) | |
| 103TF0200X Psychologist, Forensic (Licence: PA PS002940L) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |