| NPI | 1972766731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00463700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000761) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-06-03 |