| NPI | 1083964803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017229) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS017229) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |