| NPI | 1821496936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00553000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017752) |
| 103T00000X Psychologist (Licence: PA PS017752) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00553000) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2024-06-25 |