| NPI | 1033131339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003837) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-01-17 |