| NPI | 1336510452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019518) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10713) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-05-24 |