| NPI | 1083031397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA 009533) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-11-27 |