| NPI | 1659400067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS019361) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW017118) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2023-04-01 |