| NPI | 1669437505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS001890L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS-001890-L) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2022-12-01 |