| NPI | 1710097662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100298400) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS006103L) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |