| NPI | 1700252608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06273) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS018650) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2023-02-09 |