| NPI | 1679517759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS006392L) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS006392L) | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-03-20 |