| NPI | 1417225855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC010314) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: VT 068-0119214) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2024-11-20 |