| NPI | 1467787176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017184) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC001993) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2012-04-24 |