| NPI | 1366760217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009194) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 101YP2500X Counselor, Professional (Licence: PA PC009194) | |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2024-03-28 |