| NPI | 1134470461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC007623) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PA) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2024-01-16 |