| NPI | 1962845636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016131) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2024-07-12 |