| NPI | 1285055335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 555666111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA 555666111) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |