| NPI | 1578879672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 4822) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016706) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2019-07-29 |