| NPI | 1548298714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS005730L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS005730L) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-06-09 |