| NPI | 1740665769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019447) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2022-03-07 |