| NPI | 1386815306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020095) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7559) |
| 103TS0200X Psychologist, School (Licence: FL 1004304) | |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2024-03-27 |