| NPI | 1508032145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC013883) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2021-10-28 |