| NPI | 1356889919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35s100401000) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA ps-009105-l) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |