| NPI | 1134763972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS018550) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2021-02-05 |