| NPI | 1588784292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS-004161-L) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS-004161-L) |
| 103TS0200X Psychologist, School (Licence: PA PS-004161-L) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-07-10 |