| NPI | 1023722964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019789) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 6246) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-09-25 |