| NPI | 1700461019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 6338) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019238) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |