| NPI | 1316983380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS 006943 L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 012038 1) |
| 103TC0700X Psychologist, Clinical (Licence: DE B10000498) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-12-06 |