| NPI | 1487385035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PA PS008210L) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC000398) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-03-27 |