| NPI | 1265660765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC004715) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 18026) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |