NPI | 1932531563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00497400) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017139) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2013-08-06 |