| NPI | 1669038311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PA PS018369) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NY 022680) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |