| NPI | 1942373378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS 007374L) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180-005192) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-12-07 |