| NPI | 1295932887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015865) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000703) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2016-09-27 |