| NPI | 1033678784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 007936) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC005058) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2022-07-26 |