NPI | 1942785571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00599000) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: NJ 35SI00599000) |
Enumeration Date | 2018-09-28 |
Last Update Date | 2020-06-08 |