| NPI | 1235240896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007361) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS007663L) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35S100382800) | |
| 103TC0700X Psychologist, Clinical (Licence: NJ 355100382800) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-12-17 |