| NPI | 1033667548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS018864) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018864) |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2019-10-03 |