| NPI | 1306457635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS020484) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS020484) |
| 104100000X Social Worker (Licence: NY 104841-01) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2025-05-23 |