| NPI | 1851008734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019823) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 39286) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-02-14 |