| NPI | 1073847166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017887) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 7057) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-08-18 |