| NPI | 1174007462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: PA PS007781L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007781L) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS007781L) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS007781L) | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |