NPI | 1235478389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 016301) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 016301) |
Enumeration Date | 2013-02-10 |
Last Update Date | 2013-02-10 |