| NPI | 1407842560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS008383L) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: PA PS008383L) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS008383L) | |
| 103T00000X Psychologist (Licence: PA PS008383L) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2007-07-09 |