| NPI | 1558735423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019739) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 4860) |
| 103TH0100X Psychologist, Health Service (Licence: NC 4860) | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2023-03-02 |