| NPI | 1790522480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS020065) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012091) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |