| NPI | 1811060148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100293500) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS007211L) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-02-03 |