| NPI | 1942586052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017136) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-30 |