| NPI | 1942685698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00593900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10471) |
| 103TC0700X Psychologist, Clinical (Licence: NY 021198) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2021-09-20 |