| NPI | 1285685818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017043) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MT 263) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-31 |