| NPI | 1710381843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MA PSY5000500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35WSI00729500) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-06-28 |