| NPI | 1427296474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00382200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS005989L) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |