| NPI | 1184960841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06395) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017668) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2021-02-17 |