| NPI | 1316448921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH16583) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC009955) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2024-02-07 |