NPI | 1003360751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010874) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH001835) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2020-06-04 |