| NPI | 1427340744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA TPS030088) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6730) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |