| NPI | 1427028489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS-018232) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ SI00415300) |
| 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00415300) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2021-03-08 |