| NPI | 1275047318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00586900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017646) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2018-08-17 |