NPI | 1174608087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 37pc00059300) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 37pc00059300) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-07-08 |