| NPI | 1033102892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NJ 03585) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PA PS-006490-L) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2011-11-16 |