| NPI | 1437791902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS018721) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC006288) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |