| NPI | 1992823561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PS016656) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-10-21 |