| NPI | 1093946857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S10790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC005227) |
| 101YM0800X Counselor, Mental Health (Licence: NC 10790) | |
| 101YP2500X Counselor, Professional (Licence: NC 10790) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2023-05-22 |