| NPI | 1619193000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS006708L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN236787L) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |