| NPI | 1891175972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018449) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018449) |
| 103TC1900X Psychologist, Counseling (Licence: PA PS018449) | |
| 103TC0700X Psychologist, Clinical (Licence: WV 1166) | |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS018449) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-12-21 |