NPI | 1326398496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017057) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00601800) |
Enumeration Date | 2012-09-14 |
Last Update Date | 2021-05-18 |