| NPI | 1023491180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS018296) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: PA PS018296) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-03-25 |