| NPI | 1063686111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016415) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: PA PS016415) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY34533) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS016415) | |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2024-01-03 |