| NPI | 1265783831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0001135) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018284) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2024-11-26 |