| NPI | 1740517309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00558600) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017020) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2022-10-30 |