| NPI | 1457991218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018942) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS018942) |
| 103TH0100X Psychologist Health Service (Licence: PA PS018942) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: PA PS018942) | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-12-08 |