| NPI | 1003153511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 024545) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC006687) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2024-04-26 |