| NPI | 1215289509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017278) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017278) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-12-12 |