| NPI | 1861116436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019718) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PA PS019718) |
| 103TR0400X Psychologist Rehabilitation (Licence: PA PS019718) | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |