| NPI | 1124576574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018358) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 2313650) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA TPS030411) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2020-08-31 |