| NPI | 1164534772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC004020) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 2458) |
| 101YM0800X Counselor Mental Health (Licence: FL MH21179) | |
| 101YM0800X Counselor Mental Health (Licence: MO 2016003030) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-05-09 |