| NPI | 1760865828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA ps017839) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA pc001030) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |