| NPI | 1639403116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-009160-L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS009160L) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2023-02-24 |