| NPI | 1427788710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019583) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS019583) |
| 103TC0700X Psychologist Clinical (Licence: PA PS019583) | |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-09-21 |