| NPI | 1972795987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA ps008432L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1 0000481) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2010-08-30 |