| NPI | 1669580395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ SI00445800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS016078) |
| 103TC0700X Psychologist, Clinical (Licence: NJ PS016078) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-07-07 |