| NPI | 1992171839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical (Licence: FL PY11053) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2021-11-12 |