NPI | 1194108498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00535000) |
Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: ABPP # 7521) |
Enumeration Date | 2015-07-04 |
Last Update Date | 2015-07-04 |