| NPI | 1770095200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS-005806-L) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |