| NPI | 1265795710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017443) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2024-11-13 |