| NPI | 1770078594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018525) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009030) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |