| NPI | 1801362819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019337) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B2-0000398) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-03-13 |