| NPI | 1861570335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN288343L) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-01-13 |