| NPI | 1851607956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS019175) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: PA PC007108) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-12-01 |