| NPI | 1760511687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015902) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00453500) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2026-05-08 |