| NPI | 1558894501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100589100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S100589100) |
| 103TF0000X Psychologist, Family (Licence: PA PS018256) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-11-02 |