| NPI | 1598804429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009134) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 4375) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-06-28 |