| NPI | 1841409802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4478) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS006914L) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-04-27 |