| NPI | 1306025887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017030) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004653) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2019-07-24 |