| NPI | 1497985378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016573) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016573) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS016573) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016573) | |
| 103TF0000X Psychologist, Family (Licence: PA PS016573) | |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2014-12-01 |