| NPI | 1194859900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PA020270) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 110100) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017033) | |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001103) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-09-10 |