| NPI | 1881666493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS008854L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA PS008854L) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-03-01 |