| NPI | 1124326954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC007335) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004508-1) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2014-01-23 |