NPI | 1831470681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00571500) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 21873) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2021-12-08 |