| NPI | 1407918881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016910) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: UT 3434912501) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2016-08-02 |