NPI | 1518045889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100444200) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017013) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2021-03-12 |