| NPI | 1093770778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC001744) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS004917L) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |