| NPI | 1932451259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017152) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00493200) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2013-11-17 |