| NPI | 1295801454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05144) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 4443) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-02-16 |