| NPI | 1497590962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PA PS007200L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000642) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |