| NPI | 1619945318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016270) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC002166) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-02-20 |