| NPI | 1336226216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000532) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS008703L) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2017-03-07 |