| NPI | 1053647990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009083) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WY 678) |
| 101Y00000X Counselor (Licence: WY 1339) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2024-03-15 |