| NPI | 1073975959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6778) |
| 101YM0800X Counselor, Mental Health (Licence: LC7978) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-05-23 |