| NPI | 1811993876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS 003772 L) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-26 |