| NPI | 1942652656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME PS1471) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ #35si00379800) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-12-10 |