| NPI | 1891118089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017429) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05188) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |