| NPI | 1770811606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4782) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00454000) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2019-07-18 |