| NPI | 1891183711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05369) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017473) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2015-01-30 |