| NPI | 1073730701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016041) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6816) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-02-11 |