| NPI | 1437301710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 020552-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC - 004932) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2018-09-25 |