| NPI | 1629284112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS005287L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS0005287L) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS0005287L) | |
| 103TF0000X Psychologist, Family (Licence: PA PS0005287L) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-10-21 |