| NPI | 1457356115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ S101780) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS003952) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-04-28 |