| NPI | 1881690063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS005771L) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA ps-005771-l) |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: PA PS-005771-L) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2025-08-23 |