| NPI | 1487157921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019764) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00650500) |
| 103T00000X Psychologist (Licence: GA PSY004460) | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2023-06-30 |