| NPI | 1245486463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3434) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 115767) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC014385) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH21880) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2023-10-31 |