| NPI | 1841470465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016801) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003734) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2015-09-01 |