| NPI | 1386854941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: PA PS018302) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS018302) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS018302) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-07-21 |