| NPI | 1265776942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016555) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: PA PS016555) |
| 103TS0200X Psychologist, School (Licence: PA PS016555) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2019-04-24 |