NPI | 1609565480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019881) |
Additional Taxonomies | 103TH0004X Psychologist, Health |
103TH0100X Psychologist, Health Service | |
173F00000X Sleep Specialist, PhD (Licence: PA PS019881) | |
Enumeration Date | 2023-05-05 |
Last Update Date | 2023-08-22 |