| NPI | 1871822031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00632800) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist (Licence: PA PS018760) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2026-01-06 |