| NPI | 1508260738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NJ 35S100524000) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NY 019783-1) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |