| NPI | 1033427182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4766) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC001393) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2016-10-13 |