| NPI | 1467487371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS009029-L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS009029-L) |
| 106H00000X Marriage & Family Therapist (Licence: PA PS009029-L) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS009029-L) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-14 |