| NPI | 1912039918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017192) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: PA OC000231L) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-02-07 |