| NPI | 1720224413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS-008838-L) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS-008838-L) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS008838-L) | |
| 103TH0100X Psychologist Health Service (Licence: PA PS008838-L) | |
| 103TS0200X Psychologist School (Licence: PA PS-008838-L) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |