| NPI | 1356477202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA Ps017044) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-03-12 |