NPI | 1649296559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS005184L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00404500) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2007-07-08 |