| NPI | 1972523041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS006402L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA PS006402L) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS006402L) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS006402L) | |
| 103TF0000X Psychologist, Family (Licence: PA PS006402L) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS006402L) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS006402L) | |
| 101YM0800X Counselor, Mental Health (Licence: PA PS006402L) | |
| 101YS0200X Counselor, School (Licence: PA PS006402L) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-10-20 |