| NPI | 1245904028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020295) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS020295) | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2025-06-18 |