| NPI | 1477658938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS006987L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY3039) |
| 104100000X Social Worker (Licence: NJ 44SC00099800) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |