| NPI | 1013451947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC008957) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-04-26 |