| NPI | 1164551537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019731) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY-297) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2023-09-27 |