| NPI | 1386116770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019306) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 10077619-2501) |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2021-07-19 |