| NPI | 1508172115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC005158) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA PC005158) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2012-06-20 |