| NPI | 1396015541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11006) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2022-07-21 |