| NPI | 1003900044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW013505) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-10-19 |