| NPI | 1477872000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017889) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 7569599-2501) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA TPS030297) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2016-09-02 |