| NPI | 1114429131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA 25309452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC004917) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-04-25 |