| NPI | 1801336789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019440) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 4562) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2021-11-17 |