| NPI | 1891175972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018449) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 1166) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-10-17 |