| NPI | 1982826269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS008642L) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA PS008642L) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-02-20 |