NPI | 1528771367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS019779) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS019779) |
Enumeration Date | 2022-12-26 |
Last Update Date | 2022-12-26 |