| NPI | 1174997464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS009082L) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS009082L) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS009082L) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |