| NPI | 1902805047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016731) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS016731) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS016731) | |
| 103TC1900X Psychologist, Counseling (Licence: PA PS016731) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016731) | |
| 103TF0000X Psychologist, Family (Licence: PA PS016731) | |
| 103TF0200X Psychologist, Forensic (Licence: PA PS016731) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-10-28 |