| NPI | 1003365917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC009223) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-10-12 |