| NPI | 1184858565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS016958) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist (Licence: PA PS016958) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS016958) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS016958) | |
| 103TF0000X Psychologist Family (Licence: PA PS016958) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2021-08-09 |