| NPI | 1881926442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PA017708) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005423) |
| 103G00000X Clinical Neuropsychologist (Licence: PA PA017708) | |
| 103TC1900X Psychologist, Counseling (Licence: PA PA017708) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2014-11-26 |