| NPI | 1356383459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS004439L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY4610) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-09-10 |