| NPI | 1528358819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017686) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA Pc003794) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2023-09-07 |