| NPI | 1568537900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA CW0025402) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL SW6184) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |