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 |