| NPI | 1417557117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC012776) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA PC012776) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-11-06 |