| NPI | 1720383524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100525200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS006512-L) |
| 103TC0700X Psychologist, Clinical (Licence: NY 009703-1) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PSY9695) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2019-11-01 |