| NPI | 1649490533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS003978L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35SI00211200) |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical (Licence: PA PS003978L) | |
| 103TC0700X Psychologist Clinical (Licence: NJ 35S100211200) | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |