NPI | 1316115991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100450100) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100450100) |
Enumeration Date | 2008-02-15 |
Last Update Date | 2013-06-10 |