| NPI | 1316076656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WY 551) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003901) |
| 103T00000X Psychologist (Licence: PA PS016308) | |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2014-10-16 |