| NPI | 1073693214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS006331L) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-04-08 |