| NPI | 1043718547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7834) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC009561) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2023-04-13 |