| NPI | 1013063932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018619) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 282) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2023-06-13 |