| NPI | 1659649358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS019008) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 020926) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2021-04-05 |