| NPI | 1780627299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-003129-L) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-26 |