| NPI | 1902246770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00662500) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2024-02-14 |