| NPI | 1700521150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007043) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC5347) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS0044340L) | |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2024-10-21 |