| NPI | 1750625083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS007074L) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS007074L) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS007074L) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-12-11 |