| NPI | 1972025930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PA PS008573L) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS008573L) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-01-02 |