NPI | 1871664268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 4120) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015487) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2007-07-08 |