| NPI | 1639474190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 4824) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016789) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2013-12-04 |