| NPI | 1366742983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS017327) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00551400) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2016-12-22 |