| NPI | 1922620574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019790) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06856) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2023-02-07 |