| NPI | 1003918814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00152900) |
| 101YP2500X Counselor, Professional (Licence: PA PC001745) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-11-01 |