| NPI | 1952545253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016855) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: SC 1114) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2020-12-24 |