| NPI | 1619021516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016935) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PSO16935) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2024-12-15 |