| NPI | 1346775772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: PA PC005226) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: PA PC005226) |
| 101YP2500X Counselor Professional (Licence: PA PC005226) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |