| NPI | 1285019570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6318) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC007975) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2023-05-02 |