| NPI | 1093756066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC002723) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 37PC00111500) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |