NPI | 1770051427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100585300) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 002746-1) |
Enumeration Date | 2018-11-10 |
Last Update Date | 2018-11-10 |