| NPI | 1770505083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ Si00431400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015156) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-12-12 |