| NPI | 1669408225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS015458) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00458000) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-11-01 |