| NPI | 1386280055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-020167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC010683) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2024-05-30 |