NPI | 1871041186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 355100514300) |
103T00000X Psychologist (Licence: NY 011260) | |
Enumeration Date | 2016-09-15 |
Last Update Date | 2016-09-15 |