| NPI | 1700521150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC007043) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS0044340L) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2022-05-10 |