| NPI | 1639381742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NJ 3033) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NJ #3033) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |