| NPI | 1336902287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017797) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: PA 5016494) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-10-24 |