| NPI | 1073754982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC011590) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 372600000X Adult Companion | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2021-10-20 |