| NPI | 1104096221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0002886) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006470) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2023-10-26 |