| NPI | 1699492546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PA PS019729) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS019729) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-12-01 |