| NPI | 1740899830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS002604L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS002694L) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS002604L) | |
| 103TC1900X Psychologist, Counseling (Licence: PA PS002604L) | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |