| NPI | 1073682985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CWO13995) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |