| NPI | 1619353125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017769) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017769) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2024-04-24 |