| NPI | 1740473792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016428) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS016428) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2024-11-10 |