NPI | 1326260324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00346900) |
Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NJ 35SI00346900) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2015-12-04 |