| 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 |