| NPI | 1932310356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS015446) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA 35SI00427900) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-11-16 |