| NPI | 1780197368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020614) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS020614) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS020614) | |
| 103T00000X Psychologist (Licence: OH P.07669) | |
| 103TC1900X Psychologist, Counseling (Licence: PA PS020614) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2025-12-21 |