| NPI | 1912412107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018336) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PA PS018336) |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2022-12-31 |