| NPI | 1265666713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017682) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC004941) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2014-10-09 |