| NPI | 1093038077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS018701) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC005346) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2019-04-17 |