| NPI | 1780759712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS006824L) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PC000394) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |