| NPI | 1326170846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 02698) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS008380L) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2019-04-08 |