| NPI | 1366405433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015786) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000715) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2022-07-21 |