| NPI | 1689936122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 10141) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NJ 4973) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2015-09-08 |