| NPI | 1518271055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS009120L) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS009120L) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |