| NPI | 1972833127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00460500) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00322000) |
| 101YP2500X Counselor Professional (Licence: PA PC 003780) | |
| 101YP2500X Counselor Professional (Licence: DE PC-0000392) | |
| 103T00000X Psychologist (Licence: DE B1-0000869) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-11-02 |