| NPI | 1477648194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC001263) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: PA RN248436L) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |