| NPI | 1952386286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 1442) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC000044) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2013-07-03 |