| NPI | 1508015686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016069) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2021-01-06 |