| NPI | 1235286162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS005507L) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS005507L) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-11-06 |