| NPI | 1417247545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018835) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS018835) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS018835) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-11-06 |