| NPI | 1639964786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020441) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS020441) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS020441) | |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-11 |