| NPI | 1124252465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC002847) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DE PC-0000575) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2012-02-22 |