| NPI | 1508218231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018761) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05459) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2019-07-01 |