| NPI | 1457733628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC008833) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA BH002197) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2018-05-09 |