| NPI | 1164069902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 1164069902) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2021-06-16 |