| NPI | 1275054942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009630) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1700129) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-03-17 |