| NPI | 1427067461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS008512L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 03865) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |