NPI | 1144643883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC007041) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007041) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2024-03-23 |