| NPI | 1689184772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009856) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PC009856) |
| 103T00000X Psychologist (Licence: PA PC009856) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-12-18 |