| NPI | 1043226970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 37PC00174600) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PC002124) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |