| NPI | 1831573450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS017868) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-11-22 |