| NPI | 1477188282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018945) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00681800) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS018945) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2023-05-22 |