NPI | 1558881250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS019497) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009423) |
Enumeration Date | 2017-06-23 |
Last Update Date | 2022-07-21 |