| NPI | 1518220433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MA 9507) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS017076) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |