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 |