| NPI | 1033241450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019473) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE 0000600) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-02-07 |