| NPI | 1275248361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017940) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017940) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS017940) | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |