| NPI | 1407308745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0204381) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009956) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2019-07-09 |