NPI | 1265669378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00434100) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 35SI00434100) |
103TH0004X Psychologist, Health (Licence: NJ 35SI00434100) | |
Enumeration Date | 2009-06-16 |
Last Update Date | 2013-01-02 |