NPI | 1841551546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00625200) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023235) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2020-03-03 |