| NPI | 1699335034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA CW-004223-L) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: PA CW-004223-L) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |