| NPI | 1043457765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA APC000651) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2024-11-23 |