| NPI | 1427017110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0000409) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS005815L) |
| 103TC0700X Psychologist, Clinical (Licence: DE B1-0000409) | |
| 103T00000X Psychologist (Licence: PA PS005815L) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2009-06-26 |