| NPI | 1033368865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016491) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016491) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-09-28 |