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 |