| NPI | 1467566950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS004663L) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS004663L) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS004663L) | |
| 103T00000X Psychologist (Licence: PA PS004663L) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |