| NPI | 1952556573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016621) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 04412) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2017-03-14 |