| NPI | 1265702161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12690) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006181) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2024-11-04 |