| NPI | 1508004904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016547) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1765) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |