| NPI | 1427109289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017890) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NH NH260) |
| 103TC0700X Psychologist, Clinical (Licence: MA 3193) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-11-09 |