| NPI | 1952540221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016618) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014716) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2014-05-12 |