| NPI | 1750724027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017310) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2025-05-23 |