| NPI | 1750346193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS009056L) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS009056L) |
| 103TC1900X Psychologist, Counseling (Licence: PA PS009056L) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-12-09 |