NPI | 1326085556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 103TC1900X) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA 103TC1900X) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2007-07-08 |