| NPI | 1487988986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC005246) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS017832) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2015-04-27 |