NPI | 1144501784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 6004) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2011-09-08 |
Last Update Date | 2020-10-16 |