| NPI | 1912117417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS005671L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DE B1-0000261) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |