| NPI | 1902048820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016298) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP5680) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2022-08-11 |