| NPI | 1720489404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00697300) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS019237) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2024-06-25 |