| NPI | 1427595255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA BH003313) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2024-04-10 |