| NPI | 1831312651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35s100363200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA Psy13595) |
| 103TC0700X Psychologist, Clinical (Licence: CA Psy13595) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-01-18 |