NPI | 1134550155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC000699) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC000699) |
Enumeration Date | 2013-12-02 |
Last Update Date | 2024-02-15 |