| NPI | 1225470032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00499500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017305) |
| 103TS0200X Psychologist, School (Licence: NJ 816225) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-09-06 |