NPI | 1407844293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4013) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 1284) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2007-07-08 |