| NPI | 1811441058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: NJ 35SI00615100) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PA PS018093) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-02-05 |