| NPI | 1548881527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019686) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-04-24 |