| NPI | 1356491070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS007799L) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: PA MF000370) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2015-02-06 |