| NPI | 1750597910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS007917L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 3773) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-01-22 |