| NPI | 1336685916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018173) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PS018173) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2026-01-08 |