NPI | 1497039333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NJ 37PC00311200) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00311200) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2011-10-10 |