| NPI | 1285369785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019639) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 024613) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |