| NPI | 1154329571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA RN272213L) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA RN272213L) |
| 106H00000X Marriage & Family Therapist (Licence: PA RN272213L) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA RN272213L) | |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2009-07-29 |