| NPI | 1770038853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00808400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11395) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2026-07-09 |