| NPI | 1871208793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00698100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS019800) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-28 |