| NPI | 1174616239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS-015310) |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-03-24 |