| NPI | 1982022059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008556) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS020649) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2025-12-02 |