| NPI | 1699945766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0011334) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004790) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS018210) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2022-08-10 |