| NPI | 1487634655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS005912L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA ps-005912-l) |
| Enumeration Date | 2006-01-22 |
| Last Update Date | 2024-12-16 |