NPI | 1598061749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016636) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS016636) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2011-02-07 |