| NPI | 1427014281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS004610L) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS004610L) |
| 103TH0100X Psychologist, Health Service (Licence: PA PS004610L) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: PA PS004610L) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-12-18 |