| NPI | 1639556061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007924) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC007924) |
| 103TF0000X Psychologist, Family (Licence: PA PC007924) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |