| NPI | 1487025433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA TPS030454) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2015037002) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2018-04-09 |