| NPI | 1912044595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35sI00519OOO) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017364) |
| 106H00000X Marriage & Family Therapist (Licence: CA 52387) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-05-24 |