| NPI | 1992428452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020062) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 1070696) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2024-01-03 |