| NPI | 1235348814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS-003811-L) |
| Additional Taxonomies | 103TF0000X Psychologist Family (Licence: PA PS-003811-L) |
| 106H00000X Marriage & Family Therapist (Licence: PA PS-003811-L) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |