| NPI | 1770311672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00752800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00752800) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-09-11 |