| NPI | 1134373798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS17337) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 8931) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2013-04-17 |