| NPI | 1316089295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS008307L) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS008307L) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS008307L) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |