| NPI | 1205139417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017339) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 8185) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2024-02-26 |