| NPI | 1467800615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020043) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022637) |
| 103K00000X Behavior Analyst (Licence: PA BH000604) | |
| 101YP2500X Counselor Professional (Licence: PA PC009386) | |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2024-01-23 |