| NPI | 1083055354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 8252726) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS-008741-L) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |