| NPI | 1326103268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-005964-L) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: PA PS-005964-L) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS-005964-L) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-06-07 |