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 |