| NPI | 1811545601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: SC 1501) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103T00000X Psychologist (Licence: PA PS019018) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-04-12 |