| NPI | 1164793881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC006663) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA BH000340) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2013-07-11 |