| NPI | 1982958468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DE B1-0001100) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS017257) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017257) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2022-07-21 |