| NPI | 1861872327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00609400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA TPS030565) |
| 103TC0700X Psychologist, Clinical (Licence: NY 022864) | |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2020-07-21 |