| NPI | 1891911137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS004573L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00196000) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-10-13 |